HOLLY BERRYMAN BACKE

DECATUR, AL
NPI1275166175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-139307)
Enumeration Date2020-02-19
Last Update Date2020-03-16
Business Address
HOLLY BERRYMAN BACKE CRNP
1216 SOMERVILLE RD SE
DECATUR, AL 35601-4335
Phone number: 256-340-0012
Mailing Address
HOLLY BERRYMAN BACKE CRNP
2301 DOGWOOD LN SE
DECATUR, AL 35601-5317
Phone number: 256-476-2295
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